| NPI | 1033448147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: IL 036.129256) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.129256) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2015-07-08 |